High Desert Therapy Associates Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

1997001 Issued in OR

Legal business name

HIGH DESERT THERAPY ASSOCIATES INC

Practice address

51681 Huntington Road
La Pine, OR 97739

Phone

(541) 536-7399

Fax

(541) 536-6123

NPI assigned

Feb 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Philip Smith

Title

Treasurer Executive Director

Phone

(541) 536-7399

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Newberry Hospice Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922072909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1888",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "97739",
            "telephone_number": "541-536-7399",
            "fax_number": "541-536-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51681 HUNTINGTON ROAD",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "97739",
            "telephone_number": "541-536-7399",
            "fax_number": "541-536-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT THERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "TREASURER EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-536-7399"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OR",
            "license": "1997001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139209",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newberry Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliet Seeley Gutierrez
• Cynthia Diane Hanley, QMHP
• Montana Rosaleen Hanna
• Susan W Harmon, CHW
• Maxine Amy Harvey, D.O.
• Deborah Ann Hopman, RN, BSN
• Christie Ann Hughes, LMSW
• Ashley Rae Isley
• Jami Lee Jckowski, LMT
• Scott Roger Johnson, PA-C

• All providers in La Pine, OR
• Community Based Hospice Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.